Posters

Central macular thickness after catatact surgery

Poster Details

First Author: M.Meskini MOROCCO

Co Author(s): S. Belghmidi   O. Ibtissam   A. Moutaouakil              

Abstract Details

Purpose:

To determine whether cataract surgery increases macular thickness in diabetic patients without preoperative retinopathy or macular edema.

Setting:

department of ophtalmology Mohammed 6 hospital in Marrakech Morocco

Methods:

Prospective study conducted at  Mohammed 6 hospital in Marrakech from May 1, 2017 to October 1, 2018 for diabetic patients outside of retinopathy and without associated macular pathology who benefited from phacoemulsification with implantation in the capsular bag.  The total duration of the procedure, the actual duration of the ultrasound as well as the energy used were noted. All patients received postoperative anti-inflammatory antibiotic eye drops for 1 month. A complete ophthalmological examination with evaluation of macular thickness by OCT-SD was performed systematically preoperatively, postoperative 1st, 3rd, month with assay of glycated hemoglobin.

Results:

Among 97 patients who met our criteria, 20 patients were excluded from the study for impossibility of performing the OCT . The average age of our patients was 64 years predominantly male ( Men, 36 women), No significant change in central macular thickness measured at month 1 postoperatively, however there is significant thickening at 3 months postoperatively. The average preoperative central macular thickness was 202 μm, increased to 212 μm at the first postoperative month, and 234 μm at the 3rd postoperative month, with no functional repercussions.

Conclusions:

Cataract surgery in diabetic patients without preoperative retinopathy does not appear to induce significant macular thickening compared to non-diabetic patients. The period prior to any diabetic retinopathy or maculopathy seems to be the most amenable to cataract surgery when necessary.

Financial Disclosure:

None